Global frailty: the role of ethnicity, migration and socioeconomic factors

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Global frailty : the role of ethnicity, migration and socioeconomic factors. / Majid, Zeinab; Welch, Carly; Davies, Justine; Jackson, Thomas.

In: Maturitas, Vol. 139, 09.2020, p. 33-41.

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@article{7bae85a7d773476681bbf3bccabe3a6c,
title = "Global frailty: the role of ethnicity, migration and socioeconomic factors",
abstract = "Frailty is an important consequence of ageing, whereby frail patients are more likely to face adverse outcomes, such as disability and death. Risk of frailty increases in people with poor biological health, and has been shown in many ethnicities and countries. In economically developed countries, 10% of older adults are living with frailty. Ethnic minorities in the West face significant health inequalities. However, little is known about frailty prevalence and the nature of frailty in different ethnic groups. This has implications for healthcare planning anddelivery, especially screening and the development of interventions. Global frailty prevalence is variable: low- to middle-income countries demonstrate higher rates of frailty than high-income countries, but available evidence is low. Little is known about the characteristics of these differences. However, female sex, lower economic status, lower education levels, and multimorbidity are identified risk factors. Ethnic minority migrants in economically developed countries demonstrate higher rates of frailty than white indigenous older people and are more likelyto be frail when younger. Similar patterns are also seen in indigenous ethnic minority marginalised groups in economically developed countries such as the US, Australia and New Zealand, who have a higher prevalence of frailty than the majority white population. Frailty trajectories between ethnic minority migrants and white indigenous groups in high-income countries converge in the {\textquoteleft}oldest old{\textquoteright} age group, with little or no difference inprevalence. Frailty risk can be attenuated in migrants with improvements in integration, citizenship status, and access to healthcare. Ethnicity may play some role in frailty pathways, but, so far, the evidence suggests frailty is a manifestation of lifetime environmental exposure to adversity and risk accumulation. ",
keywords = "Frailty, Global ageing, Migration, Ethnicity",
author = "Zeinab Majid and Carly Welch and Justine Davies and Thomas Jackson",
year = "2020",
month = sep,
doi = "10.1016/j.maturitas.2020.05.010",
language = "English",
volume = "139",
pages = "33--41",
journal = "Maturitas",
issn = "0378-5122",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - Global frailty

T2 - the role of ethnicity, migration and socioeconomic factors

AU - Majid, Zeinab

AU - Welch, Carly

AU - Davies, Justine

AU - Jackson, Thomas

PY - 2020/9

Y1 - 2020/9

N2 - Frailty is an important consequence of ageing, whereby frail patients are more likely to face adverse outcomes, such as disability and death. Risk of frailty increases in people with poor biological health, and has been shown in many ethnicities and countries. In economically developed countries, 10% of older adults are living with frailty. Ethnic minorities in the West face significant health inequalities. However, little is known about frailty prevalence and the nature of frailty in different ethnic groups. This has implications for healthcare planning anddelivery, especially screening and the development of interventions. Global frailty prevalence is variable: low- to middle-income countries demonstrate higher rates of frailty than high-income countries, but available evidence is low. Little is known about the characteristics of these differences. However, female sex, lower economic status, lower education levels, and multimorbidity are identified risk factors. Ethnic minority migrants in economically developed countries demonstrate higher rates of frailty than white indigenous older people and are more likelyto be frail when younger. Similar patterns are also seen in indigenous ethnic minority marginalised groups in economically developed countries such as the US, Australia and New Zealand, who have a higher prevalence of frailty than the majority white population. Frailty trajectories between ethnic minority migrants and white indigenous groups in high-income countries converge in the ‘oldest old’ age group, with little or no difference inprevalence. Frailty risk can be attenuated in migrants with improvements in integration, citizenship status, and access to healthcare. Ethnicity may play some role in frailty pathways, but, so far, the evidence suggests frailty is a manifestation of lifetime environmental exposure to adversity and risk accumulation.

AB - Frailty is an important consequence of ageing, whereby frail patients are more likely to face adverse outcomes, such as disability and death. Risk of frailty increases in people with poor biological health, and has been shown in many ethnicities and countries. In economically developed countries, 10% of older adults are living with frailty. Ethnic minorities in the West face significant health inequalities. However, little is known about frailty prevalence and the nature of frailty in different ethnic groups. This has implications for healthcare planning anddelivery, especially screening and the development of interventions. Global frailty prevalence is variable: low- to middle-income countries demonstrate higher rates of frailty than high-income countries, but available evidence is low. Little is known about the characteristics of these differences. However, female sex, lower economic status, lower education levels, and multimorbidity are identified risk factors. Ethnic minority migrants in economically developed countries demonstrate higher rates of frailty than white indigenous older people and are more likelyto be frail when younger. Similar patterns are also seen in indigenous ethnic minority marginalised groups in economically developed countries such as the US, Australia and New Zealand, who have a higher prevalence of frailty than the majority white population. Frailty trajectories between ethnic minority migrants and white indigenous groups in high-income countries converge in the ‘oldest old’ age group, with little or no difference inprevalence. Frailty risk can be attenuated in migrants with improvements in integration, citizenship status, and access to healthcare. Ethnicity may play some role in frailty pathways, but, so far, the evidence suggests frailty is a manifestation of lifetime environmental exposure to adversity and risk accumulation.

KW - Frailty

KW - Global ageing

KW - Migration

KW - Ethnicity

U2 - 10.1016/j.maturitas.2020.05.010

DO - 10.1016/j.maturitas.2020.05.010

M3 - Article

VL - 139

SP - 33

EP - 41

JO - Maturitas

JF - Maturitas

SN - 0378-5122

ER -